On pump versus off pump coronary artery bypass grafting in patients with end-stage renal disease and coronary artery disease — A nation-wide, propensity score matched database analyses

Jien Jiun Chen, Lian Yu Lin, Yao Hsu Yang, Juey Jen Hwang, Pau Chung Chen, Jiunn Lee Lin, Nai Hsin Chi

研究成果: 雜誌貢獻文章

7 引文 斯高帕斯(Scopus)

摘要

Objective The usage of on or off cardiopulmonary bypass in patients with coronary artery disease receiving coronary artery bypass grafting (CABG) surgery had been debated and had not yet been investigated thoroughly in patients with end-stage renal disease (ESRD). We aimed to study cardiovascular outcomes and total mortality in these patients by using our National Health Insurance (NHI) database. Method By using our NHI ESRD claim database, we searched ESRD patients aged more than 18 years, who received CABG and divided them into on pump and off pump groups. Baseline characteristics and underlying comorbidities were identified from the database. Propensity score (PS) method was used to match all the potential confounders between patients. Outcomes including mortality, myocardial infarction, stroke and repeat revascularization within 30 days, 1 year and whole follow-up period were also obtained. Result A total of 134,410 ESRD patients were identified in the database. We included 341 patients and 543 patients who received off pump and on pump CABG respectively. The hazard ratios of different outcomes at 30 days, 1 year and a median of 745 days after CABG did not show significant different between on, or off pump groups before and after PS match. Conclusion ESRD patients with CAD undergoing either on pump or off pump CABG surgery showed similar outcomes in 30 days, 1 year and whole follow-up period.
原文英語
頁(從 - 到)529-534
頁數6
期刊International Journal of Cardiology
227
DOIs
出版狀態已發佈 - 一月 15 2017
對外發佈Yes

Keywords

  • Coronary artery bypass grafting
  • Coronary artery disease
  • End-stage renal disease
  • Off pump
  • On pump

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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